A quantified approach to the analysis and prevention of urinary complications in radiotherapeutic treatment of cancer of the cervix
This paper is the report of a dosimetric study of 79 urinary complications after radical radiation treatment (1975–1979) of 624 cervical uterine tumors. Treatment consisted of external irradiation (25 MeV linear accelerator) and intracavitary irradiation (Fletcher-Suit-Delclos applicator). Dosimetri...
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| Veröffentlicht in: | Int. J. Radiat. Oncol., Biol. Phys.; (United States) Biol. Phys.; (United States), 1987-07, Vol.13 (7), p.1025-1033 |
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| container_title | Int. J. Radiat. Oncol., Biol. Phys.; (United States) |
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| creator | Pourquier, H. Delard, R. Achille, E. Daly, N.J. Horiot, J.C. Keiling, R. Pigneux, J. Rozan, R. Schraub, S. Vrousos, C. |
| description | This paper is the report of a dosimetric study of 79 urinary complications after radical radiation treatment (1975–1979) of 624 cervical uterine tumors. Treatment consisted of external irradiation (25 MeV linear accelerator) and intracavitary irradiation (Fletcher-Suit-Delclos applicator). Dosimetric-computerized studies were expressed as the maximum bladder dose on the trigone, as proposed by the I.C.R.U. Bladder doses were actually studied as a function of intracavitary irradiation and intracavitary + external irradiation. The results show a significant difference in patients with and without complications based on the dose reaching the bladder. The relative contribution of external therapy and intracavitary irradiation and their value can serve as one of the primary indicators for predicting complications. These values should be determined before placement of intracavitary sources. We found that the dose to the critical organs cannot be defined as a single number. These results argue in favor of adapting individual patient therapy based on rectal and bladder dosimetry and may be adjustable to all treatment modalities. |
| doi_str_mv | 10.1016/0360-3016(87)90041-1 |
| format | Article |
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Treatment consisted of external irradiation (25 MeV linear accelerator) and intracavitary irradiation (Fletcher-Suit-Delclos applicator). Dosimetric-computerized studies were expressed as the maximum bladder dose on the trigone, as proposed by the I.C.R.U. Bladder doses were actually studied as a function of intracavitary irradiation and intracavitary + external irradiation. The results show a significant difference in patients with and without complications based on the dose reaching the bladder. The relative contribution of external therapy and intracavitary irradiation and their value can serve as one of the primary indicators for predicting complications. These values should be determined before placement of intracavitary sources. We found that the dose to the critical organs cannot be defined as a single number. These results argue in favor of adapting individual patient therapy based on rectal and bladder dosimetry and may be adjustable to all treatment modalities.</description><identifier>ISSN: 0360-3016</identifier><identifier>EISSN: 1879-355X</identifier><identifier>DOI: 10.1016/0360-3016(87)90041-1</identifier><identifier>PMID: 3597145</identifier><identifier>CODEN: IOBPD3</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>550603 - Medicine- External Radiation in Therapy- (1980-) ; 560151 - Radiation Effects on Animals- Man ; Biological and medical sciences ; BIOLOGICAL EFFECTS ; BIOLOGICAL RADIATION EFFECTS ; BLADDER ; BODY ; Brachytherapy ; Carcinoma of the cervix ; DISEASES ; Dose-Response Relationship, Radiation ; DOSE-RESPONSE RELATIONSHIPS ; DOSES ; Female ; Female genital diseases ; FEMALE GENITALS ; Graphic prevention ; Gynecology. Andrology. Obstetrics ; INJURIES ; Medical sciences ; MEDICINE ; NEOPLASMS ; NUCLEAR MEDICINE ; ORGANS ; PATIENTS ; RADIATION DOSES ; RADIATION EFFECTS ; RADIATION INJURIES ; Radiation Injuries - prevention & control ; RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT ; RADIOLOGY ; RADIOLOGY AND NUCLEAR MEDICINE ; RADIOTHERAPY ; Radiotherapy Dosage ; Radiotherapy treatment ; SIDE EFFECTS ; THERAPY ; Tumors ; Urinary Bladder - radiation effects ; Urinary complications ; URINARY TRACT ; Urologic Diseases - prevention & control ; Uterine Cervical Neoplasms - radiotherapy ; UTERUS</subject><ispartof>Int. J. Radiat. Oncol., Biol. Phys.; (United States), 1987-07, Vol.13 (7), p.1025-1033</ispartof><rights>1987</rights><rights>1988 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-12680bbb40c865ce20679f48b1f2c6a873d00945299869fa5b050ac6fd46f1733</citedby><cites>FETCH-LOGICAL-c444t-12680bbb40c865ce20679f48b1f2c6a873d00945299869fa5b050ac6fd46f1733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0360-3016(87)90041-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,881,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7690093$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3597145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/6273675$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Pourquier, H.</creatorcontrib><creatorcontrib>Delard, R.</creatorcontrib><creatorcontrib>Achille, E.</creatorcontrib><creatorcontrib>Daly, N.J.</creatorcontrib><creatorcontrib>Horiot, J.C.</creatorcontrib><creatorcontrib>Keiling, R.</creatorcontrib><creatorcontrib>Pigneux, J.</creatorcontrib><creatorcontrib>Rozan, R.</creatorcontrib><creatorcontrib>Schraub, S.</creatorcontrib><creatorcontrib>Vrousos, C.</creatorcontrib><creatorcontrib>University Hospital, Metz, France</creatorcontrib><title>A quantified approach to the analysis and prevention of urinary complications in radiotherapeutic treatment of cancer of the cervix</title><title>Int. J. Radiat. Oncol., Biol. Phys.; (United States)</title><addtitle>Int J Radiat Oncol Biol Phys</addtitle><description>This paper is the report of a dosimetric study of 79 urinary complications after radical radiation treatment (1975–1979) of 624 cervical uterine tumors. Treatment consisted of external irradiation (25 MeV linear accelerator) and intracavitary irradiation (Fletcher-Suit-Delclos applicator). Dosimetric-computerized studies were expressed as the maximum bladder dose on the trigone, as proposed by the I.C.R.U. Bladder doses were actually studied as a function of intracavitary irradiation and intracavitary + external irradiation. The results show a significant difference in patients with and without complications based on the dose reaching the bladder. The relative contribution of external therapy and intracavitary irradiation and their value can serve as one of the primary indicators for predicting complications. These values should be determined before placement of intracavitary sources. We found that the dose to the critical organs cannot be defined as a single number. These results argue in favor of adapting individual patient therapy based on rectal and bladder dosimetry and may be adjustable to all treatment modalities.</description><subject>550603 - Medicine- External Radiation in Therapy- (1980-)</subject><subject>560151 - Radiation Effects on Animals- Man</subject><subject>Biological and medical sciences</subject><subject>BIOLOGICAL EFFECTS</subject><subject>BIOLOGICAL RADIATION EFFECTS</subject><subject>BLADDER</subject><subject>BODY</subject><subject>Brachytherapy</subject><subject>Carcinoma of the cervix</subject><subject>DISEASES</subject><subject>Dose-Response Relationship, Radiation</subject><subject>DOSE-RESPONSE RELATIONSHIPS</subject><subject>DOSES</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>FEMALE GENITALS</subject><subject>Graphic prevention</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>INJURIES</subject><subject>Medical sciences</subject><subject>MEDICINE</subject><subject>NEOPLASMS</subject><subject>NUCLEAR MEDICINE</subject><subject>ORGANS</subject><subject>PATIENTS</subject><subject>RADIATION DOSES</subject><subject>RADIATION EFFECTS</subject><subject>RADIATION INJURIES</subject><subject>Radiation Injuries - prevention & control</subject><subject>RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT</subject><subject>RADIOLOGY</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>RADIOTHERAPY</subject><subject>Radiotherapy Dosage</subject><subject>Radiotherapy treatment</subject><subject>SIDE EFFECTS</subject><subject>THERAPY</subject><subject>Tumors</subject><subject>Urinary Bladder - radiation effects</subject><subject>Urinary complications</subject><subject>URINARY TRACT</subject><subject>Urologic Diseases - prevention & control</subject><subject>Uterine Cervical Neoplasms - radiotherapy</subject><subject>UTERUS</subject><issn>0360-3016</issn><issn>1879-355X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuLFDEUhYMoY8_oP1AIIoMuSpOqPCobYRh8wYAbBXchlbqhI1WVmiTVOGv_uInd9NJVDsl3DrnnIvSCkneUUPGedII0XVFvevlWEcJoQx-hHe2lajrOfz5GuzPyFF2m9IsQQqlkF-ii40pSxnfozw2-38ySvfMwYrOuMRi7xzngvAdsFjM9JJ-KGPEa4QCFDAsODm_RLyY-YBvmdfLW1PuE_YKjGX0o5mhW2LK3OEcweS7OarNmsRCrqvlFHvzvZ-iJM1OC56fzCv349PH77Zfm7tvnr7c3d41ljOWGtqInwzAwYnvBLbRESOVYP1DXWmF62Y2EKMZbpXqhnOED4cRY4UYmHJVdd4VeHXNDyl4n6zPYvQ3LAjZr0cpOSF6g6yNUmrjfIGU9-2RhmswCYUuaMkl527ECsiNoY0gpgtNr9HOpRFOi64J0bV_X9nUv9b8FaVpsL0_52zDDeDadNlLeX5_eTbJmcrEU5tMZk6IEqTrLhyMGpbCDh1jngdLt6GMdZwz-___4C9FCrUs</recordid><startdate>19870701</startdate><enddate>19870701</enddate><creator>Pourquier, H.</creator><creator>Delard, R.</creator><creator>Achille, E.</creator><creator>Daly, N.J.</creator><creator>Horiot, J.C.</creator><creator>Keiling, R.</creator><creator>Pigneux, J.</creator><creator>Rozan, R.</creator><creator>Schraub, S.</creator><creator>Vrousos, C.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U7</scope><scope>C1K</scope><scope>OTOTI</scope></search><sort><creationdate>19870701</creationdate><title>A quantified approach to the analysis and prevention of urinary complications in radiotherapeutic treatment of cancer of the cervix</title><author>Pourquier, H. ; Delard, R. ; Achille, E. ; Daly, N.J. ; Horiot, J.C. ; Keiling, R. ; Pigneux, J. ; Rozan, R. ; Schraub, S. ; Vrousos, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-12680bbb40c865ce20679f48b1f2c6a873d00945299869fa5b050ac6fd46f1733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>550603 - Medicine- External Radiation in Therapy- (1980-)</topic><topic>560151 - Radiation Effects on Animals- Man</topic><topic>Biological and medical sciences</topic><topic>BIOLOGICAL EFFECTS</topic><topic>BIOLOGICAL RADIATION EFFECTS</topic><topic>BLADDER</topic><topic>BODY</topic><topic>Brachytherapy</topic><topic>Carcinoma of the cervix</topic><topic>DISEASES</topic><topic>Dose-Response Relationship, Radiation</topic><topic>DOSE-RESPONSE RELATIONSHIPS</topic><topic>DOSES</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>FEMALE GENITALS</topic><topic>Graphic prevention</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>INJURIES</topic><topic>Medical sciences</topic><topic>MEDICINE</topic><topic>NEOPLASMS</topic><topic>NUCLEAR MEDICINE</topic><topic>ORGANS</topic><topic>PATIENTS</topic><topic>RADIATION DOSES</topic><topic>RADIATION EFFECTS</topic><topic>RADIATION INJURIES</topic><topic>Radiation Injuries - prevention & control</topic><topic>RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT</topic><topic>RADIOLOGY</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>RADIOTHERAPY</topic><topic>Radiotherapy Dosage</topic><topic>Radiotherapy treatment</topic><topic>SIDE EFFECTS</topic><topic>THERAPY</topic><topic>Tumors</topic><topic>Urinary Bladder - radiation effects</topic><topic>Urinary complications</topic><topic>URINARY TRACT</topic><topic>Urologic Diseases - prevention & control</topic><topic>Uterine Cervical Neoplasms - radiotherapy</topic><topic>UTERUS</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pourquier, H.</creatorcontrib><creatorcontrib>Delard, R.</creatorcontrib><creatorcontrib>Achille, E.</creatorcontrib><creatorcontrib>Daly, N.J.</creatorcontrib><creatorcontrib>Horiot, J.C.</creatorcontrib><creatorcontrib>Keiling, R.</creatorcontrib><creatorcontrib>Pigneux, J.</creatorcontrib><creatorcontrib>Rozan, R.</creatorcontrib><creatorcontrib>Schraub, S.</creatorcontrib><creatorcontrib>Vrousos, C.</creatorcontrib><creatorcontrib>University Hospital, Metz, France</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>OSTI.GOV</collection><jtitle>Int. J. Radiat. Oncol., Biol. Phys.; (United States)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pourquier, H.</au><au>Delard, R.</au><au>Achille, E.</au><au>Daly, N.J.</au><au>Horiot, J.C.</au><au>Keiling, R.</au><au>Pigneux, J.</au><au>Rozan, R.</au><au>Schraub, S.</au><au>Vrousos, C.</au><aucorp>University Hospital, Metz, France</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A quantified approach to the analysis and prevention of urinary complications in radiotherapeutic treatment of cancer of the cervix</atitle><jtitle>Int. J. Radiat. Oncol., Biol. Phys.; (United States)</jtitle><addtitle>Int J Radiat Oncol Biol Phys</addtitle><date>1987-07-01</date><risdate>1987</risdate><volume>13</volume><issue>7</issue><spage>1025</spage><epage>1033</epage><pages>1025-1033</pages><issn>0360-3016</issn><eissn>1879-355X</eissn><coden>IOBPD3</coden><abstract>This paper is the report of a dosimetric study of 79 urinary complications after radical radiation treatment (1975–1979) of 624 cervical uterine tumors. Treatment consisted of external irradiation (25 MeV linear accelerator) and intracavitary irradiation (Fletcher-Suit-Delclos applicator). Dosimetric-computerized studies were expressed as the maximum bladder dose on the trigone, as proposed by the I.C.R.U. Bladder doses were actually studied as a function of intracavitary irradiation and intracavitary + external irradiation. The results show a significant difference in patients with and without complications based on the dose reaching the bladder. The relative contribution of external therapy and intracavitary irradiation and their value can serve as one of the primary indicators for predicting complications. These values should be determined before placement of intracavitary sources. We found that the dose to the critical organs cannot be defined as a single number. These results argue in favor of adapting individual patient therapy based on rectal and bladder dosimetry and may be adjustable to all treatment modalities.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3597145</pmid><doi>10.1016/0360-3016(87)90041-1</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0360-3016 |
| ispartof | Int. J. Radiat. Oncol., Biol. Phys.; (United States), 1987-07, Vol.13 (7), p.1025-1033 |
| issn | 0360-3016 1879-355X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_14715234 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | 550603 - Medicine- External Radiation in Therapy- (1980-) 560151 - Radiation Effects on Animals- Man Biological and medical sciences BIOLOGICAL EFFECTS BIOLOGICAL RADIATION EFFECTS BLADDER BODY Brachytherapy Carcinoma of the cervix DISEASES Dose-Response Relationship, Radiation DOSE-RESPONSE RELATIONSHIPS DOSES Female Female genital diseases FEMALE GENITALS Graphic prevention Gynecology. Andrology. Obstetrics INJURIES Medical sciences MEDICINE NEOPLASMS NUCLEAR MEDICINE ORGANS PATIENTS RADIATION DOSES RADIATION EFFECTS RADIATION INJURIES Radiation Injuries - prevention & control RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT RADIOLOGY RADIOLOGY AND NUCLEAR MEDICINE RADIOTHERAPY Radiotherapy Dosage Radiotherapy treatment SIDE EFFECTS THERAPY Tumors Urinary Bladder - radiation effects Urinary complications URINARY TRACT Urologic Diseases - prevention & control Uterine Cervical Neoplasms - radiotherapy UTERUS |
| title | A quantified approach to the analysis and prevention of urinary complications in radiotherapeutic treatment of cancer of the cervix |
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